A patient whose cancer has been staged at T4 N2 M2 has been assigned for care. What is the best interpretation of this staging information in planning care for this patient?
1. The primary tumor has shrunken, although some lymph nodes remain involved. Teach the patient that this is good news.
2. The primary tumor has now responded to a combination of chemotherapy and radiation. The patient should now receive much less analgesic medication.
3. The primary tumor is quite large and has extended to lymph glands and distant areas. Gentle touch and therapeutic listening will be especially helpful.
4. After the series of radiation treatments, the distant metastases are still present. Prepare the patient to accept only the cure of the primary tumor.
3
Correct interpretation and differentiating components of staging data are used to plan effec-tive nursing care.
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Your patient has recently completed her first round of chemotherapy in the treatment of lung cancer. When reviewing this morning's blood work, what findings would be suggestive of myelosuppression?
A) Decreased sodium levels and decreased potassium levels B) Increased creatinine and blood urea nitrogen (BUN) C) Decreased platelets and red blood cells D) Increased white blood cells and c-reactive protein (CRP)
A 37-year-old male is ordered to treatment by the court after being arrested for rubbing his genitals against the buttocks of several women in the elevator of his work place. What is this client being treated for?
A) Fetishism B) Sexual masochism C) Frotteurism D) Exhibitionism
The parent of a 5-year-old child who has had four urinary tract infections in the past year asks the nurse why the provider doesn't just order an antibiotic for the child's current symptoms of low-grade fever, flank pain, and dysuria since these
are similar symptoms as before. Which is the most important reason given by the nurse? a. "Your child may need to be hospitalized for treatment." b. "Your child may need a urine culture be-fore and after treatment." c. "Your child may need tests to assess for urinary tract abnormalities." d. "Your child may need additional medica-tions, such as urinary tract antiseptics."
A child diagnosed with cancer is prescribed chemotherapy. The latest lab value indicates the white-blood-cell count is very low. Which medication order does the nurse anticipate?
1. Filgrastim (Neupogen) 2. Ondansetron (Zofran) 3. Oprelvekin (Neumega) 4. Epoetin alfa (human recombinant erythropoietin)